0091: Aortic stenosis: the interest of the cardiopulmonary exercise testing

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Cardiopulmonary Exercise Testing in Aortic Stenosis.

Patients with moderate to severe aortic stenosis (AVA <1.3 cm2) who were judged, by a referring cardiologist, as asymptomatic or equivocal symptomatic from the aortic stenosis were included in the study. Patients with left ventricular ejection fraction <50% were not included. Twenty-nine percent of the referred patients were judged asymptomatic and 71% equivocal symptomatic from their valve dis...

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Exercise testing in asymptomatic severe aortic stenosis.

The management and the clinical decision making in asymptomatic patients with aortic stenosis are challenging. An "aggressive" management, including early aortic valve replacement, is debated in these patients. However, the optimal timing for surgery remains controversial due to the lack of prospective data on the determinants of aortic stenosis progression, multicenter studies on risk stratifi...

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Management of asymptomatic aortic stenosis: how helpful is exercise testing?

In contrast to symptomatic aortic stenosis (AS), asymptomatic AS has been shown to have a relatively good outcome even if it is haemodynamically severe. From the current data, it appears unlikely that the potential benefit can outweigh the risk of surgery and the long-term risk of prosthesis related complications in all patients. Surgery is, therefore, not generally recommended in AS before sym...

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Understanding the basics of cardiopulmonary exercise testing.

Cardiopulmonary exercise testing adds important additional information to that provided by the standard exercise test. In particular, cardiopulmonary exercise testing provides precise determination of aerobic capacity, the causes of dyspnea with exertion, and prognosis in patients with systolic heart failure. This review provides basic, practical information about cardiopulmonary exercise testi...

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Exercise testing to stratify risk in aortic stenosis.

AIMS The aims of this study were to assess the accuracy of exercise testing in predicting symptom onset within 12 months in patients with asymptomatic aortic stenosis and to establish the criteria that define a positive test. METHODS AND RESULTS A total of 125 patients with aortic stenosis [effective orifice area (EOA) 0.9+/-0.2 cm2] were assessed by Specific Activity Scale (SAS) classificati...

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ژورنال

عنوان ژورنال: Archives of Cardiovascular Diseases Supplements

سال: 2014

ISSN: 1878-6480

DOI: 10.1016/s1878-6480(14)71456-9